| NPI | 1831367200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIA GARTON Administrator 304-925-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine |
| Additional Taxonomies | 261QP3300X Clinic/Center Pain (Licence: WV 12738) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2023-01-12 |